Experiences, attitudes and expectations towards work among individuals with severe mental disorders in a private day hospital

Abstract

INTRODUCTION: Employment is a key component of recovery in people with severe mental disorders and a key aspect of social validation. The aim of this study was to know the work experience, interest in working, specific job search behaviors, occupational status, and attitudes toward work among this population. METHODS: A total of 103 people under treatment at a mental health institution in the city of Buenos Aires completed a questionnaire in 2018 with open and closed questions. The analysis combined quantitative and qualitative approaches, with calculation and comparison of frequencies according to groups and thematic analysis. RESULTS: Most of the participants had work experience, although only 29% were working and 93% of those who had no job said they were interested in working. However, only 33% of those who did not have a job carried out activities to get one. A total of 85% considered that they could have problems if they worked and 15% said that it could eventually hurt them. No significant differences by diagnosis or gender were observed. DISCUSSION: A high interest in working among people with severe mental disorders contrasts with a considerable percentage that is nonetheless not looking for a job and anticipates difficulties at work. Stigma could be one of the biggest obstacles to carrying out job search activities and achieving labor inclusion. Employment support programs should consider some of the problems found in this study.